| NPI | 1942323555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J COHEN Owner 352-241-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: FL ME48437) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |